CMS Formulary

Displaying 481-490 of 1611142 results.
ID: 481
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 482
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 483
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 484
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 485
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 486
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 487
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 488
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 489
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310534
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 490
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0